Nursing Elites

1. Anoxia during labor and delivery can cause __________.

• A. spina bifida
• B. anencephaly
• C. cerebral palsy
• D. muscular dystrophy

Correct answer: C

Rationale: Anoxia during labor and delivery can cause cerebral palsy. Cerebral palsy is a group of disorders that affect a person's ability to move and maintain balance and posture. It is caused by damage to the developing brain, often due to a lack of oxygen during labor and delivery. Spina bifida (Choice A) is a neural tube defect that occurs during embryonic development and is not directly caused by anoxia during labor. Anencephaly (Choice B) is a severe neural tube defect where the baby is born without parts of the brain and skull, not typically caused by anoxia during labor. Muscular dystrophy (Choice D) is a genetic disorder characterized by progressive muscle weakness and is not directly related to anoxia during labor and delivery.

2. What advice can you offer parents who want to reduce their newborn son’s discomfort during circumcision?

• A. Stimulate the Babinski reflex.
• B. Play loud music to distract the baby.
• C. Offer a sugar solution while gently holding the baby.
• D. Newborns have a low sensitivity to pain, so interventions are unnecessary. Answer: C Page Ref: 108 Skill Level: Apply Topic: The Newborn Baby’s Capacities Copyright © 2018 Laura E. Berk. All Rights Reserved. 35 Test Bank for Berk, Development Through the Lifespan, 7e Difficulty Level: Difficult

Correct answer: C

Rationale: Offering a sugar solution while gently holding the baby can help reduce the newborn's discomfort during circumcision. This method has been found to effectively decrease pain perception and can provide some comfort to the baby during the procedure. Stimulating the Babinski reflex, playing loud music to distract the baby, and assuming newborns have low sensitivity to pain are not recommended strategies for reducing discomfort during circumcision.

3. Swaddling newborns __________.

• A. increases crying
• B. hinders early motor development
• C. promotes an insecure attachment relationship
• D. restricts movement and increases warmth

Correct answer: D

Rationale: Swaddling newborns restricts their movement by wrapping them snugly in a blanket, which helps to mimic the feeling of security they had in the womb. It also helps to maintain their warmth and can promote better sleep patterns. Choices A, B, and C are incorrect because swaddling does not increase crying, hinder early motor development, or promote an insecure attachment relationship. Instead, it provides comfort, warmth, and a sense of security for newborns.

4. __________ children are at risk for poor school performance, substance abuse, and antisocial behavior in adolescence and criminality in adulthood.

• A. Average
• B. Controversial
• C. Rejected
• D. Popular

Correct answer: C

Rationale: Rejected children often face social difficulties that lead to negative outcomes later in life, including academic and behavioral problems. The term 'rejected' specifically refers to children who are socially excluded or shunned by their peers, leading to the mentioned negative consequences. 'Average,' 'Controversial,' and 'Popular' do not convey the same meaning and are not related to the risks mentioned in the question.

5. Low-level radiation, resulting from industrial leakage or medical X-rays, __________.

• A. is harmful only when combined with other teratogens
• B. can increase the risk of childhood cancer
• C. rarely causes lasting damage
• D. is safe during the last trimester

Correct answer: B

Rationale: Low-level radiation, whether from industrial leakage or medical X-rays, can increase the risk of childhood cancer by potentially damaging the developing fetus's cells. Even though the risk is relatively low, it is still a significant concern that should be acknowledged and monitored closely, especially during prenatal development. Choice A is incorrect as low-level radiation can still be harmful on its own without the need to be combined with other teratogens. Choice C is incorrect because low-level radiation exposure can indeed cause lasting damage, especially in the context of childhood cancer risk. Choice D is incorrect because low-level radiation exposure, even during the last trimester, can pose risks to the developing fetus and is not considered entirely safe.

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